2020 Volume 35 Issue 4 Pages 587-594
[Purpose] The purpose of this case report was to examine the short-term effects of home-visit rehabilitation for a community-dwelling older adult with severe dementia on the physical performance, behavioral and psychological symptoms of dementia (BPSD), and burden of caregiver. [Participant and Methods] A woman in her 80s with Alzheimer disease and left trans-tibial amputation was discharged to home after hospitalization and prosthesis prescription, and started home-visit rehabilitation. At the start of home-visit rehabilitation, she had difficulties with physical performance, severe cognitive impairment, BPSD, and the family burden of caregiver was severe. [Results] After four months of home-visit rehabilitation, there was no change in cognitive function, but physical performance, mainly standing-up, standing, and transfers, BPSD, and burden of caregiver improved. [Conclusion] The short-term home-visit rehabilitation and advice given to family caregiver would have contributed to the improved physical performance, BPSD, and family care burden of the community-dwelling older adult with severe dementia and multiple handicaps.
